Lee Reggie H C, Lee Michelle H H, Wu Celeste Y C, Couto E Silva Alexandre, Possoit Harlee E, Hsieh Tsung-Han, Minagar Alireza, Lin Hung Wen
Department of Neurology, Louisiana State University Health Science Center; Center for Brain Health, Louisiana State University Health Science Center, Shreveport, LA, USA.
Institute of Cellular and System Medicine, National Health Research Institutes, Zhunan, Taiwan, China.
Neural Regen Res. 2018 Mar;13(3):373-385. doi: 10.4103/1673-5374.228711.
Cerebral ischemia is one of the leading causes of morbidity and mortality worldwide. Although stroke (a form of cerebral ischemia)-related costs are expected to reach 240.67 billion dollars by 2030, options for treatment against cerebral ischemia/stroke are limited. All therapies except anti-thrombolytics (i.e., tissue plasminogen activator) and hypothermia have failed to reduce neuronal injury, neurological deficits, and mortality rates following cerebral ischemia, which suggests that development of novel therapies against stroke/cerebral ischemia are urgently needed. Here, we discuss the possible mechanism(s) underlying cerebral ischemia-induced brain injury, as well as current and future novel therapies (i.e., growth factors, nicotinamide adenine dinucleotide, melatonin, resveratrol, protein kinase C isozymes, pifithrin, hypothermia, fatty acids, sympathoplegic drugs, and stem cells) as it relates to cerebral ischemia.
脑缺血是全球发病和死亡的主要原因之一。尽管预计到2030年与中风(脑缺血的一种形式)相关的费用将达到2406.7亿美元,但针对脑缺血/中风的治疗选择有限。除抗血栓药物(即组织纤溶酶原激活剂)和低温疗法外,所有治疗方法都未能减少脑缺血后的神经元损伤、神经功能缺损和死亡率,这表明迫切需要开发针对中风/脑缺血的新疗法。在此,我们讨论脑缺血诱导脑损伤的潜在机制,以及与脑缺血相关的当前和未来的新疗法(即生长因子、烟酰胺腺嘌呤二核苷酸、褪黑素、白藜芦醇、蛋白激酶C同工酶、pifithrin、低温疗法、脂肪酸、交感神经阻滞药和干细胞)。